Provider Demographics
NPI:1023606985
Name:OSGANIAN, AMY (NP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:OSGANIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 LIMA RD
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-1151
Mailing Address - Country:US
Mailing Address - Phone:585-330-5355
Mailing Address - Fax:585-341-0682
Practice Address - Street 1:1000 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2782
Practice Address - Country:US
Practice Address - Phone:585-341-0963
Practice Address - Fax:585-341-0962
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310113363LG0600X
NYF310113-01363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology